山东医学高等专科学校学报
山東醫學高等專科學校學報
산동의학고등전과학교학보
Journal of Shandong Medical College
2015年
5期
347-350
,共4页
针吸细胞学%肺癌%SA%TSGF
針吸細胞學%肺癌%SA%TSGF
침흡세포학%폐암%SA%TSGF
Needle aspiration cytology%Lung cancer%Sialic acid%Tumor special growth factor
目的：探讨B超引导下经皮肺针吸细胞学联合血清SA和TSGF测定对肺癌的定性诊断手段，以达到早期诊治的目的。方法选取临沂市肿瘤医院2010年1月～2014年10月收治的肺占位患者行B超引导下经皮肺针吸细胞学检查，同时联合检查患者血清SA和TSGF水平，对经临床病理诊断的的肺癌患者139例进行统计学处理，比较针吸细胞学、血清SA、TSGF检测与三者联合检测的应用价值。结果139例肺癌患者，B超引导下经皮针吸细胞学检查阳性率为71．2％，血清SA阳性率52．5％，TSGF阳性率64．0％，三者联合检查阳性率89．2％，检测血清SA和TSGF水平对针吸细胞学诊断困难或疑难病例有辅助确诊作用。结论 B超引导下经皮肺针吸细胞学检查增加了对肿物穿刺的准确性，同时获得直接途径判断所穿肿物的良恶性鉴别。联合血清SA 和TSGF测定有助于提高肺占位性病变的定性诊断，是肺癌早期诊断的重要方法之一，为早期治疗提供诊断依据。
目的：探討B超引導下經皮肺針吸細胞學聯閤血清SA和TSGF測定對肺癌的定性診斷手段，以達到早期診治的目的。方法選取臨沂市腫瘤醫院2010年1月～2014年10月收治的肺佔位患者行B超引導下經皮肺針吸細胞學檢查，同時聯閤檢查患者血清SA和TSGF水平，對經臨床病理診斷的的肺癌患者139例進行統計學處理，比較針吸細胞學、血清SA、TSGF檢測與三者聯閤檢測的應用價值。結果139例肺癌患者，B超引導下經皮針吸細胞學檢查暘性率為71．2％，血清SA暘性率52．5％，TSGF暘性率64．0％，三者聯閤檢查暘性率89．2％，檢測血清SA和TSGF水平對針吸細胞學診斷睏難或疑難病例有輔助確診作用。結論 B超引導下經皮肺針吸細胞學檢查增加瞭對腫物穿刺的準確性，同時穫得直接途徑判斷所穿腫物的良噁性鑒彆。聯閤血清SA 和TSGF測定有助于提高肺佔位性病變的定性診斷，是肺癌早期診斷的重要方法之一，為早期治療提供診斷依據。
목적：탐토B초인도하경피폐침흡세포학연합혈청SA화TSGF측정대폐암적정성진단수단，이체도조기진치적목적。방법선취림기시종류의원2010년1월～2014년10월수치적폐점위환자행B초인도하경피폐침흡세포학검사，동시연합검사환자혈청SA화TSGF수평，대경림상병리진단적적폐암환자139례진행통계학처리，비교침흡세포학、혈청SA、TSGF검측여삼자연합검측적응용개치。결과139례폐암환자，B초인도하경피침흡세포학검사양성솔위71．2％，혈청SA양성솔52．5％，TSGF양성솔64．0％，삼자연합검사양성솔89．2％，검측혈청SA화TSGF수평대침흡세포학진단곤난혹의난병례유보조학진작용。결론 B초인도하경피폐침흡세포학검사증가료대종물천자적준학성，동시획득직접도경판단소천종물적량악성감별。연합혈청SA 화TSGF측정유조우제고폐점위성병변적정성진단，시폐암조기진단적중요방법지일，위조기치료제공진단의거。
Objective To discuss the qualitative diagnosis of lung cancer under B ultrasound guided per‐cutaneous lung needle aspiration cytology combined with serum SA and TSGF determination to achieve early diagnosis and treatment purposes .Methods We selected the patients of pulmonary lesions received in our hospital from January 2010 to October 2014 and gave them ultrasound guided percutaneous lung needle aspiration cytology and at the same time ,did the joint inspection of serum SA and TSGF levels .We statis‐tically analyzed the clinical and pathological diagnosis of 139 cases of patients with lung cancer ,and com‐pared the application value of fine needle aspiration cytology ,serum SA ,TSGF detection and the combined detection of three .Results Positive rate of B ultrasound guided percutaneous fine needle aspiration cytolo‐gy ,serum SA ,TSGF determination and the combined detection of three for 139 patients with lung cancer was respectively 71 .2% ,52 .5% ,64 .0% and 89 .2% .The serum SA and TSGF level detection had auxil‐iary diagnosis effect in the diagnosis of difficult cases for the fine needle aspiration cytology .Conclusion B ul‐trasound guided percutaneous fine needle aspiration cy‐tology increased the accuracy of puncture ,and it gave us the direct way to determine if the wear mass was benign or malignant .Combined with serum SA and TSGF determination could improve the qualitative diagnosis of pulmonary lesions ,it was one of the impor‐tant methods for early diagnosis of lung cancer and provide a basis of diagnosis for early treatment .
